Provider Demographics
NPI:1164008538
Name:KLOMP, AUSTIN JEFFREY (DO, MBA)
Entity Type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:JEFFREY
Last Name:KLOMP
Suffix:
Gender:M
Credentials:DO, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 STEWART HILL DR
Mailing Address - Street 2:
Mailing Address - City:RIVER HEIGHTS
Mailing Address - State:UT
Mailing Address - Zip Code:84321-5669
Mailing Address - Country:US
Mailing Address - Phone:435-757-4738
Mailing Address - Fax:
Practice Address - Street 1:1411 S POTOMAC ST STE 330
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4539
Practice Address - Country:US
Practice Address - Phone:720-874-2411
Practice Address - Fax:720-476-3369
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program